Active NPI
Megan Landry Stalpes, M.D.
- Pediatrics Physician
- Edina, MN
National Provider Identifier
1790002889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 56233
- Practice address
- 3955 Parklawn Ave
Edina, MN 55435-5655 - Phone
- (952) 831-4454
- NPI assigned
- Apr 28, 2010
- Last updated
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 56233 | MN | Primary |
Addresses
Primary practice location
3955 Parklawn Ave
Edina, MN 55435-5655
Mailing address
3955 Parklawn Ave
Edina, MN 55435-5655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56233 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southdale Pediatric Associates, LTD | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1846cf9e-8006-4277-b72f-3cbbe8a8f5ca/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fairview Southdale Hospital
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- Multi-Specialty Clinic/Center
- Edina, MN
- NPI 1245305895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1790002889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 PARKLAWN AVE",
"city": "EDINA",
"state": "MN",
"postal_code": "554355655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 PARKLAWN AVE",
"city": "EDINA",
"state": "MN",
"postal_code": "554355655",
"telephone_number": "952-831-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALPES",
"first_name": "MEGAN",
"middle_name": "LANDRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-28",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "56233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.